Doctor Name: | TERESA WOLF |
NPI Number: | 1538482013 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2112 |
Business Practice Address: | 807 Jefferson Ave Memphis, TN - 381055042 |
Business Phone Number: | 9016785800 |
Business Fax Number: | 9015251282 |
Mailing Address: | 807 Jefferson Ave, MEMPHIS |
State: | TN |
Postal Code: | 381055042 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/11/2010 |
NPI Last Update Date: | 03/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |